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MR. DONALD F GARDNER MD
NPI 1174616619
Specialist in Houston, TX

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1140 BUSINESS CENTER DR, STE 550, HOUSTON, TX 77043(713) 984-8200(713) 984-1113 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Donald F Gardner Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DONALD F GARDNER MD (NPI 1174616619) is an individual specialist in Houston, Texas, licensed in Texas (G5909) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (1973).

NPPES Registry Identity

NPI1174616619
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. DONALD F GARDNERCredential: MD
Location Address1140 BUSINESS CENTER DR, STE 550Houston, TX 77043-2737
Mailing Address1140 Business Center Dr, Ste 550Houston, TX 77043-2737 · (713) 984-8200 · Fax (713) 984-1113
Phone(713) 984-8200
Fax(713) 984-1113
Sole ProprietorYes
Medical School CMSOtherGraduated 1973
Enumeration DateOctober 2, 2006
Last NPPES UpdateDecember 3, 2019
✔ NPI 1174616619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · G5909
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1140 BUSINESS CENTER DR, Houston, TX 77043
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Other Identifiers 5

Other1043401193TX · Group
Other00QG37TX · Bcbs
Other1174616619TX · Bcbs
Other760191917TX · Tax Id
Medicaid114356202TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Donald F Gardner Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547201725
PECOS Enrollment IDI20050518000409
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
564 services306 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
314 services192 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
206 services109 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
74 services62 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
25 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Columbus Community Hospital

Acute Care Hospitals · Columbus, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number450370
Location110 Shult DrColumbus, TX 78934 · Colorado County
Emergency services Birthing friendly

Memorial Hermann Memorial City Hospital

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450610
Location921 GessnerHouston, TX 77024 · Harris County
Emergency services Birthing friendly

Memorial Hermann Katy Hospital

Acute Care Hospitals · Katy, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450847
Location23900 Katy FreewayKaty, TX 77494 · Fort Bend County
Emergency services Birthing friendly

Houston Methodist West Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670077
Location18500 Katy FreewayHouston, TX 77094 · Harris County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%455 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
6 suppliers33 claims412 services$18.45 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers34 claims1,030 services$2.37 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
2 suppliers15 claims15 services$157.57 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
33 suppliers93 claims334 services$5.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers18 claims26 services$0.92 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
7 suppliers19 claims2,400 services$7.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEMORIAL ENDOCRINOLOGY AND DIABETES
Specialist
1140 BUSINESS CENTER DR, SUITE #550
HOUSTON, TX 77043
Harris County (713) 984-8200
DR. ATA T SALEK M.D.
Family Medicine
1140 BUSINESS CENTER DR, SUITE 200
HOUSTON, TX 77043
Harris County (713) 468-7911
SHIRAZ P DHANANI PA
Internal Medicine (Cardiovascular Disease)
1140 BUSINESS CENTER DR, SUITE 500
HOUSTON, TX 77043
Harris County (713) 973-7445
ABDULHADI MOHSIN AKHTAR MD
Urology
1140 BUSINESS CENTER DR
HOUSTON, TX 77043
Harris County (713) 932-1822
WM SERVICES, LTD
Specialist
1140 BUSINESS CENTER DR, SUITE 200
HOUSTON, TX 77043
Harris County (713) 461-2223
ALI AZIMPOOR M.D.
Neurological Surgery
1140 BUSINESS CENTER DR, SUITE 490
HOUSTON, TX 77043
Harris County (713) 932-1247
DR. RENE ANTHONY AMAYA MD
Pediatrics (Pediatric Infectious Diseases)
1140 BUSINESS CENTER DR, SUITE 300
HOUSTON, TX 77043
Harris County (713) 464-9776
MRS. LAINE NICOLE SANTAMARIA MS, PA-C
Physician Assistant
1140 BUSINESS CENTER DR, SUITE 300
HOUSTON, TX 77043
Harris County (713) 464-9776

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donald Gardner's NPI number?

The NPI number for Donald Gardner is 1174616619. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Donald Gardner located?

Donald Gardner practices at 1140 Business Center Dr Ste 550, Houston, TX 77043. The listed phone number is (713) 984-8200.

What is Donald Gardner's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Donald Gardner enrolled in Medicare?

Yes. Donald Gardner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Donald Gardner accept?

Health plans from Blue Cross and Blue Shield of Texas list Donald Gardner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Donald Gardner affiliated with any hospitals?

According to CMS data, Donald Gardner is affiliated with Memorial Hermann - Texas Medical Center, Columbus Community Hospital, Memorial Hermann Memorial City Hospital, Memorial Hermann Katy Hospital and Houston Methodist West Hospital.

When was this NPI record last updated?

The NPPES record for Donald Gardner was last updated on December 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.